Individual
CONSTANCE HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
192 YORK ST, YORK, ME 03909
(207) 363-2164
(207) 363-7808
Mailing address
192 YORK ST, YORK, ME 03909
(207) 363-2164
(207) 363-7808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00466
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003281
STAR
ME
01
—
017671
ANTHEM BC BS
ME
05
—
126560000
—
ME
01
—
4221194
AETNA
—
01
—
527600001
MAGELLAN
ME
Enumeration date
08/17/2006
Last updated
07/08/2007
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